Journal of Pediatric Surgery
Volume 44, Issue 10 , Pages 1942-1946 , October 2009

Impact of spinal anesthesia for open pyloromyotomy on operating room time

  • Ludmyla Kachko

      Affiliations

    • Department of Anesthesia, Schneider Children's Medical Center of Israel, Petah Tiqwa and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 49202, Israel
    • Corresponding Author InformationCorresponding author. Tel.: +972 3 925 30 80, +972 3 925 30 83; fax: +972 3 925 32 79.
    • Contributed equally to this work.
  • ,
  • Eliahu Simhi

      Affiliations

    • Department of Anesthesia, Schneider Children's Medical Center of Israel, Petah Tiqwa and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 49202, Israel
    • Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA, USA
    • Contributed equally to this work.
  • ,
  • Enrique Freud

      Affiliations

    • Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center of Israel, Petah Tiqwa and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 49202 Israel
  • ,
  • Elena Dlugy

      Affiliations

    • Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center of Israel, Petah Tiqwa and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 49202 Israel
  • ,
  • Jacob Katz

      Affiliations

    • Department of Anesthesia, Schneider Children's Medical Center of Israel, Petah Tiqwa and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 49202, Israel

Received 19 December 2008 ,Revised 23 March 2009 ,Accepted 26 March 2009.

References 

  1. Abreu FA, Silva E, MacFadyen UM, et al. Sleep apnea during upper respiratory infection and metabolic alkalosis in infancy. Arch Dis Child. 1986;61:1056–1062
  2. MacDonald NJ, Fitzpatrick GJ, Moore KP, et al. Anaesthesia for congenital hypertrophic pyloric stenosis. A review of 350 patients. Br J Anaesth. 1987;59:672–677
  3. Habre W, Shwab C, Gollow I, et al. An audit of postoperative analgesia after pyloromyotomy. Paediatr Anaesth. 1999;9:253–256
  4. Andropoulos DB, Heard MB, Johnson KL, et al. Postanesthetic apnea in full-term infants after pyloromyotomy. Anesthesiology. 1994;80:216–219
  5. Davis PJ, Galinkin J, McGowan FX, et al. A randomized multicenter study of remifentanil compared with halothane in neonates and infants undergoing pyloromyotomy. I. Emergence and recovery profiles. Anesth Analg. 2001;93:1380–1386
  6. Galinkin JL, Davis PJ, McGowan FX, et al. A randomized multicenter study of remifentanil compared with halothane in neonates and infants undergoing pyloromyotomy. II. Perioperative breathing patterns in neonates and infants with pyloric stenosis. Anesth Analg. 2001;93:1387–1392
  7. Bissonnette B, Sullivan PJ. Pyloric stenosis. Can J Anesth. 1991;38(5):668–676
  8. Schechter R, Torfs CP, Bateson TF. The epidemiology of infantile hypertrophic pyloric stenosis. Paediatr Perinat Epidemiol. 1997;11(4):407–427
  9. Jetzek-Zader M. High spinal anaesthesia in a formerly preterm infant undergoing pyloromyotomy. Paediatr Anaesth. 2001;11:505–507
  10. Williams RK, Adams DC, Aladjem EV, et al. The safety and efficacy of spinal anesthesia for surgery in infants: the Vermont Infant Spinal Registry. Anesth Analg. 2006;102:67–71
  11. Kachko L, Simhi E, Tzeitlin E, et al. Spinal anesthesia in neonates and infants. A single- center experience of 505 cases. Paediatr Anaesth. 2007;17:647–653
  12. Williams JM, Stoddart PA, Williams SA, et al. Postoperative recovery after inguinal herniotomy in ex-premature infants: comparison between sevoflurane and spinal anesthesia. Br J Anaesth. 2001;86(3):366–371
  13. Krane EJ, Haberkern CM, Jacobson LE. Postoperative apnea, bradycardia, and oxygen desaturation in formerly premature infants: prospective comparison of spinal and general anesthesia. Anesth Analg. 1995;80:7–13
  14. Somri M, Gaitini L, Vaida SJ, et al. The effectiveness and safety of spinal anaesthesia in the pyloromyotomy procedure. Pediatr Anesth. 2003;13:32–37
  15. Donham RT. Defining measurable OR-PR scheduling, efficiency and utilization data elements: the Association of Anesthesia Clinical Directors Procedural Times Glossary. Int Anesthesiol Clin. 1998;36:15–29
  16. Dexter F, Coffin S, Tinker JH. Decreases in anesthesia-controlled time cannot permit one additional surgical operation to be reliably scheduled during the workday. Anesth Analg. 1995;81(6):1263–1268
  17. Overdyk FJ, Harvey SC, Fishman RL, et al. Successful strategies for improving operating room efficiency at academic institutions. Anesth Analg. 1998;86(4):896–906
  18. Strum DP, Sampson R, May JH, et al. Surgeon and type of anesthesia predict variability in surgical procedure times. Anesthesiology. 2000;92:1454–1466
  19. Abouleish AE, Prough DS, Whitten CW, et al. The effects of surgical case duration and type of surgery on hourly clinical productivity of anesthesiologists. Anesth Analg. 2003;97:833–838
  20. Mazzei WJ. Operating rooms start times and turnover time in a university hospital. J Clin Anesth. 1994;6:405–408
  21. Saadat H, Escobar A, Davis EA, et al. Task analysis of the preincision period in a pediatric operating suite: an independent observer-based study of 656 cases. Anesth Analg. 2006;103(4):928–931
  22. Dubois MC, Troje C, Martin C, et al. Anesthesia in the management of pyloric stenosis. Evaluation of the combination of propofol-halogenated anesthetics. Ann Fr Anesth Reanim. 1993;12(6):566–570
  23. Wolf AR, Lawson RA, Dryden CM, et al. Recovery after desflurane anaesthesia in the infant: comparison with isoflurane. Br J Anaesth. 1996;76(3):362–364
  24. Patel N, Smith CE, Pinchak AC, et al. Desflurane is not associated with faster operating room exit times in outpatients. J Clin Anesth. 1996;8(2):130–135
  25. Junger A, Klasen J, Hartmann B, et al. Discharge time after regional or intravenous anaesthesia in combination with laryngeal mask airway compared with balanced anaesthesia with endotracheal intubation. Eur J Anaesthesiol. 2002;19(2):119–124
  26. Escobar A, Davis EA, Ehrenwerth J, et al. Task analysis of the preincision surgical period: an independent observer-based study of 1558 cases. Anesth Analg. 2006;103(4):922–927
  27. Dexter F, Macario A. Decrease in case duration required to complete an additional case during regularly scheduled hours in an operating room suite: a computer simulation study. Anesth Analg. 1999;88:72–76

PII: S0022-3468(09)00310-8

doi: 10.1016/j.jpedsurg.2009.03.038

Journal of Pediatric Surgery
Volume 44, Issue 10 , Pages 1942-1946 , October 2009